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DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
NPI 1477169076
Family Medicine - Sports Medicine in Pearland, TX

Active since September 18, 2020CLIA 45D2299256 · Microscopy
3322 E WALNUT ST STE 112, PEARLAND, TX 77581(281) 485-3226(281) 485-5520 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2021, Oct 14, 2020, Sep 18, 2020 (3 updates tracked since 2020).

About Doc's Interventional Sports Medicine And Primary Care P.l.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C. (NPI 1477169076) is a healthcare organization registered as a sports medicine in Pearland, Texas and active in the NPI registry since September 2020. The organization holds a CLIA Microscopy certificate valid through February 14, 2028 and lists Vincent Joseph Mandola, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1477169076
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameDOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
Location Address3322 E WALNUT ST STE 112Pearland, TX 77581-4305
Mailing Address3322 E Walnut St Ste 112Pearland, TX 77581-4305 · (281) 485-3226 · Fax (281) 485-5520
Phone(281) 485-3226
Fax(281) 485-5520
Organization SubpartNo
Authorized OfficialVincent Joseph MandolaPhysician/owner · (281) 485-3226
Enumeration DateSeptember 18, 2020
Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1477169076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3322 E WALNUT ST STE 112, Pearland, TX 77581
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Other Identifiers 1

Other1013352251TX · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doc's Interventional Sports Medicine And Primary Care P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Doc's Interventional Sports Medicine And Primary Care P.L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vincent Mandola, M.D.
Family Practice
NPI 1013352251
3322 E WALNUT ST STE 112
Pearland, TX 77581
(281) 485-3226
✔ PECOS✔ Accepts MedicareSame address
Alexandra Mandola, DO
Family Practice
NPI 1801383633
10705 SPRING GREEN BLVD STE 600
Katy, TX 77494
(281) 783-8162
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2299256

Doc's Interventional Sports Medicine & Primary Care PLLC · Pearland, TX
Active · expires Feb 14, 2028
CLIA Number45D2299256
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorVincent J. Mandola
Laboratory Phone(281) 485-3226
Laboratory LocationDoc's Interventional Sports Medicine & Primary Care PLLC3322 E Walnut St Ste 112, Pearland, TX 77581
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doc's Interventional Sports Medicine And Primary Care P.L.L.C.'s NPI number?

The NPI number for Doc's Interventional Sports Medicine And Primary Care P.L.L.C. is 1477169076. It was assigned to this organization in the NPPES registry on September 18, 2020.

Where is Doc's Interventional Sports Medicine And Primary Care P.L.L.C. located?

Doc's Interventional Sports Medicine And Primary Care P.L.L.C. is located at 3322 E Walnut St Ste 112, Pearland, TX 77581. The listed phone number is (281) 485-3226.

What is Doc's Interventional Sports Medicine And Primary Care P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Doc's Interventional Sports Medicine And Primary Care P.L.L.C. enrolled in Medicare?

Yes. Doc's Interventional Sports Medicine And Primary Care P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Doc's Interventional Sports Medicine And Primary Care P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Doc's Interventional Sports Medicine And Primary Care P.L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Doc's Interventional Sports Medicine And Primary Care P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2299256) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Doc's Interventional Sports Medicine And Primary Care P.L.L.C. accept?

Health plans from WellPoint list Doc's Interventional Sports Medicine And Primary Care P.L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doc's Interventional Sports Medicine And Primary Care P.L.L.C. was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.